Patient's question:
Detailed medical condition and consultation purpose: Hello! First of all, thank you for your attention to my question?I have been married for 2 years and have no children. In September of this year, I had a check-up, and the conclusion was a sperm vitality rate of 45% and activity of 40. The doctor said there is a possibility of infertility. How should I be treated? Preferably through dietary supplements or prepared Chinese herbal medicine treatment, as well as drinking water infused with Chinese herbs.
Medical history: I have had orchitis in the past. I was treated for prostatitis in August of this year, and it has been cured.
Doctor's answer:
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Hello: Generally used medications include:
① ATP (Adenosine Triphosphate): 20mg intramuscular injection, once daily. It is more effective for cases with chronic genital inflammation and can significantly improve sperm motility.
② Pentoxyfilline: 200–600mg per dose, three times daily, for 3–6 months. It shows significant improvement in sperm forward motility.
③ Vitamin A: Cod liver oil pills, 2–3 pills per dose, three times daily, for 3 months. Vitamin A is essential for promoting sperm production.
④ Vitamin E: 50mg per dose, once daily, for 3 months. Vitamin E deficiency can cause degeneration of seminiferous tubules in the testes, leading to impaired spermatogenesis. Vitamin E can inhibit the oxidative products of prostaglandins that cause inflammation of male accessory glands, thus preventing reduced sperm motility.
⑤ Chinese herbal medicine options include Sheng Jing Tang (Sperm-Boosting Decoction): Goji berries 15g, Tribulus terrestris 9g, Rubus fructus 9g, Schisandra chinensis 9g, Plantago asiatica () 9g, Mulberry 9g, Angelica sinensis 12g, Polygonum multiflorum 15g, Codonopsis pilosula 15g, Astragalus 18g, Epimedium 12g, Dipsacus asper 15g, and Tangerine peel 9g. Take one decoction daily, decocted in water, and drink the liquid. It significantly improves sperm viability, motility, and density.
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